NURSING NUR 265 (NUR265)

The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: 0. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may bleed out if they have a hematoma (a collection of blood)The charge nurse is observing a newly hired nurse care ...

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next?The newly hired nurse is developing a plan of care for a client who has acquired AIDS and...

The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best intervention?A client has a new tracheostomy, on a mechanical ventilator with the following settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which assessment finding requires immediate action by the nurse?The nurse palpates the posterior chest while the client says “99” and no...

NUR 265 Advanced Medical Surgical Nursing Complex Elimination Renal: Acute Kidney Injury- Abrupt loss of kidney function. It can happen in hours to days, Pathophysiology: Fluid and electrolyte imbalances occur. Labs and Diagnostics: GFR decreases. (90-120ml/min) Creatinine increase. (0.5-1.2mg/dl) protein breakdown. BUN increase. (10-20mg/dl) Hemoglobin- 12-18 Hematocrit- 37- 52 3 Types: Pre-Renal Causes: (Hypotension) The issue is before the kidney. (Impaired renal perfusion) Blood or fluid los...

NUR 265 Advanced Medical Surgical Nursing Complex Elimination Renal: Acute Kidney Injury- Abrupt loss of kidney function. It can happen in hours to days, Pathophysiology: Fluid and electrolyte imbalances occur. Labs and Diagnostics: GFR decreases. (90-120ml/min) Creatinine increase. (0.5-1.2mg/dl) protein breakdown. BUN increase. (10-20mg/dl) Hemoglobin- 12-18 Hematocrit- 37- 52 3 Types: Pre-Renal Causes: (Hypotension) The issue is before the kidney. (Impaired renal perfusion) Blood or fluid los...

Tissue destruction caused by a burn injury leads to local and systemic problems that affect Fluid and electrolyte balance leading to: o protein losses, sepsis, and changes in metabolic, endocrine, respiratory, cardiac, hematologic, and immune functioning - The extant of problems is related to: o age, general health, extent of injury, depth of injury, and the specific body area injured - Late complications may occur after healing: o Contracture formation and scaring - The priorities of care...

Medical/Nursing Management:

Grief and Loss of a School-Aged Child Scenario: 20 children between the ages of six and seven years old, at a local elementary school were fatally shot as well as 6 adults. The survivors of the school shooting are experiencing extreme grief and loss from the tragedy. School aged children (age 6-12) tend to associate bad thoughts with causing the death or misfortunate event and end up feeling intense guilt and responsibility for the death event. The older school aged children that have high...

Y.L., a 34-year-old Southern Asian woman, comes to the clinic with complaints of chronic fatigue, increased thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-the- counter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says...

See Announcement posted day 7 of week 1 for groups assigned. Group 1 Scenario: T.M. is 50-year-old male patient who came in to the emergency department with complaints of chest pain developing while shoveling snow this am. He is accompanied by his wife, who reports he became ill while outside working to remove snow on their driveway. T.M. states his pain level is an 8 on a scale of 0 – 10 and reports he feels heavy pressure in the center of his chest. Upon assessment, he denies pain radi...